岳彩迎,宋伟安,刘军强,赵嘉华,范博士,狄守印,龚太乾.空肠穿刺造瘘术在食管癌外科治疗中的应用:258例分析[J].转化医学杂志,2020,9(6):360-362
空肠穿刺造瘘术在食管癌外科治疗中的应用:258例分析
The application of needle catheter jejunostomy for esophageal cancer: A Study of 258 Cases
  
DOI:
中文关键词:  食管癌  空肠穿刺造瘘术  并发症
英文关键词:Esophageal cancer  Needle catheter jejunostomy  Complications
基金项目:北京市科学技术委员会首都特色医疗项目(Z161100000516185)
作者单位
岳彩迎 中国人民解放军总医院第六医学中心胸外科 
宋伟安 中国人民解放军总医院第六医学中心胸外科 
刘军强 中国人民解放军总医院第六医学中心胸外科 
赵嘉华 中国人民解放军总医院第六医学中心胸外科 
范博士 中国人民解放军总医院第六医学中心胸外科 
狄守印 中国人民解放军总医院第六医学中心胸外科 
龚太乾 中国人民解放军总医院第六医学中心胸外科
南方医科大学第二临床医学院(龚太乾) 
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中文摘要:
      目的探讨食管癌外科治疗中行空肠穿刺造瘘术的安全性和有效性。方法回顾性分析2015年8月—2019年12月在解放军总医院第六医学中心胸外科接受食管癌切除术并行空肠穿刺造瘘术的258例患者临床资料,统计分析术中空肠穿刺造瘘术手术时间、术后并发症和造瘘管留置时间。结果258例食管癌患者均在术中行空肠穿刺造瘘术,手术时间6~12(8.2±2.4)min,造瘘管带管时间1~382(97.4±21.3)d。术后出现造瘘口相关并发症19例,其中穿刺口周围浅表皮肤感染10例,造瘘管阻塞5例,自行脱管2例,拔管困难2例,未出现非计划再次手术和死亡等严重并发症。结论空肠穿刺造瘘术操作简便、并发症少、耐受性好、带管时间长,值得在食管癌外科术后营养支持中进一步推广应用。
英文摘要:
      ObjectiveTo explore the safety and efficiency of needle catheter jejunostomy (NCJ) in surgical treatment of esophageal cancer. MethodsThe clinical data of 258 patients who underwent esophagectomy and NCJ at the Department of thoracic surgery, the Sixth Medical Center of Chinese PLA General Hospital from August 2015 to December 2019 were collected. The operation time, postoperative complications, and the indwelling time of jejunal nutrition tube were retrospectively analyzed. ResultsAll the patients with esophageal cancer underwent NCJ during esophagectomy. The operation time of NCJ was 6~12 min, and the average operation time was (8.2±2.4) min. The indwelling time of jejunal nutrition tube was 1~382 days, and the average indwelling time was (97.4±21.3) days. NCJ related complications were found in 19 patients. Of these 19 patients, 10 cases developed superficial skin infection around the puncture port, 5 cases tube obstruction, 2 cases self-extubation and 2 cases tube incarceration. No patients developed serious complication. ConclusionNCJ is technically feasible and the complication rate is acceptable. The jejunal nutrition tube is well tolerated, and the indwelling time is satisfying. NCJ is worthy of further popularization and application in esophagectomy.
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